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WO1996031129A1 - Composition alimentaire therapeutique et procede attenuant les fluctuations glycemiques - Google Patents

Composition alimentaire therapeutique et procede attenuant les fluctuations glycemiques Download PDF

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Publication number
WO1996031129A1
WO1996031129A1 PCT/US1995/010803 US9510803W WO9631129A1 WO 1996031129 A1 WO1996031129 A1 WO 1996031129A1 US 9510803 W US9510803 W US 9510803W WO 9631129 A1 WO9631129 A1 WO 9631129A1
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WO
WIPO (PCT)
Prior art keywords
composition
fat
protein
patient
carbohydrate
Prior art date
Application number
PCT/US1995/010803
Other languages
English (en)
Inventor
Francine Kaufman
Original Assignee
Children's Hospital Of Los Angeles
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Children's Hospital Of Los Angeles filed Critical Children's Hospital Of Los Angeles
Priority to NZ292038A priority Critical patent/NZ292038A/en
Priority to JP53026696A priority patent/JP3589673B2/ja
Priority to AT95930278T priority patent/ATE216564T1/de
Priority to EP95930278A priority patent/EP0765126B1/fr
Priority to CA002191714A priority patent/CA2191714C/fr
Priority to BR9507944A priority patent/BR9507944A/pt
Priority to DE69526501T priority patent/DE69526501D1/de
Priority to AU33728/95A priority patent/AU718692B2/en
Publication of WO1996031129A1 publication Critical patent/WO1996031129A1/fr
Priority to FI964884A priority patent/FI964884A/fi

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Classifications

    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23G—COCOA; COCOA PRODUCTS, e.g. CHOCOLATE; SUBSTITUTES FOR COCOA OR COCOA PRODUCTS; CONFECTIONERY; CHEWING GUM; ICE-CREAM; PREPARATION THEREOF
    • A23G3/00—Sweetmeats; Confectionery; Marzipan; Coated or filled products
    • A23G3/34—Sweetmeats, confectionery or marzipan; Processes for the preparation thereof
    • A23G3/36—Sweetmeats, confectionery or marzipan; Processes for the preparation thereof characterised by the composition containing organic or inorganic compounds
    • A23G3/364—Sweetmeats, confectionery or marzipan; Processes for the preparation thereof characterised by the composition containing organic or inorganic compounds containing microorganisms or enzymes; containing paramedical or dietetical agents, e.g. vitamins
    • A23G3/368—Sweetmeats, confectionery or marzipan; Processes for the preparation thereof characterised by the composition containing organic or inorganic compounds containing microorganisms or enzymes; containing paramedical or dietetical agents, e.g. vitamins containing vitamins, antibiotics
    • A—HUMAN NECESSITIES
    • A21—BAKING; EDIBLE DOUGHS
    • A21D—TREATMENT, e.g. PRESERVATION, OF FLOUR OR DOUGH, e.g. BY ADDITION OF MATERIALS; BAKING; BAKERY PRODUCTS; PRESERVATION THEREOF
    • A21D2/00—Treatment of flour or dough by adding materials thereto before or during baking
    • A21D2/08—Treatment of flour or dough by adding materials thereto before or during baking by adding organic substances
    • A21D2/14—Organic oxygen compounds
    • A21D2/16—Fatty acid esters
    • A—HUMAN NECESSITIES
    • A21—BAKING; EDIBLE DOUGHS
    • A21D—TREATMENT, e.g. PRESERVATION, OF FLOUR OR DOUGH, e.g. BY ADDITION OF MATERIALS; BAKING; BAKERY PRODUCTS; PRESERVATION THEREOF
    • A21D2/00—Treatment of flour or dough by adding materials thereto before or during baking
    • A21D2/08—Treatment of flour or dough by adding materials thereto before or during baking by adding organic substances
    • A21D2/14—Organic oxygen compounds
    • A21D2/18—Carbohydrates
    • A21D2/186—Starches; Derivatives thereof
    • A—HUMAN NECESSITIES
    • A21—BAKING; EDIBLE DOUGHS
    • A21D—TREATMENT, e.g. PRESERVATION, OF FLOUR OR DOUGH, e.g. BY ADDITION OF MATERIALS; BAKING; BAKERY PRODUCTS; PRESERVATION THEREOF
    • A21D2/00—Treatment of flour or dough by adding materials thereto before or during baking
    • A21D2/08—Treatment of flour or dough by adding materials thereto before or during baking by adding organic substances
    • A21D2/24—Organic nitrogen compounds
    • A21D2/26—Proteins
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L25/00—Food consisting mainly of nutmeat or seeds; Preparation or treatment thereof
    • A23L25/30—Mashed or comminuted products, e.g. pulp, pastes, meal, powders; Products made therefrom, e.g. blocks, flakes, snacks; Liquid or semi-liquid products
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L29/00—Foods or foodstuffs containing additives; Preparation or treatment thereof
    • A23L29/20—Foods or foodstuffs containing additives; Preparation or treatment thereof containing gelling or thickening agents
    • A23L29/206—Foods or foodstuffs containing additives; Preparation or treatment thereof containing gelling or thickening agents of vegetable origin
    • A23L29/212—Starch; Modified starch; Starch derivatives, e.g. esters or ethers
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/115—Fatty acids or derivatives thereof; Fats or oils
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/10—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof using additives
    • A23L33/17—Amino acids, peptides or proteins
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
    • A23L33/40—Complete food formulations for specific consumer groups or specific purposes, e.g. infant formula
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L7/00—Cereal-derived products; Malt products; Preparation or treatment thereof
    • A23L7/10—Cereal-derived products
    • A23L7/117—Flakes or other shapes of ready-to-eat type; Semi-finished or partly-finished products therefor
    • A23L7/126—Snacks or the like obtained by binding, shaping or compacting together cereal grains or cereal pieces, e.g. cereal bars
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
    • A23L9/00—Puddings; Cream substitutes; Preparation or treatment thereof
    • A23L9/10—Puddings; Dry powder puddings
    • A23L9/12—Ready-to-eat liquid or semi-liquid desserts, e.g. puddings, not to be mixed with liquids, e.g. water, milk
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/70—Carbohydrates; Sugars; Derivatives thereof
    • A61K31/715—Polysaccharides, i.e. having more than five saccharide radicals attached to each other by glycosidic linkages; Derivatives thereof, e.g. ethers, esters
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00—Drugs for disorders of the metabolism
    • A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P3/00—Drugs for disorders of the metabolism
    • A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
    • A61P3/10—Drugs for disorders of the metabolism for glucose homeostasis for hyperglycaemia, e.g. antidiabetics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
    • A—HUMAN NECESSITIES
    • A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
    • A23V—INDEXING SCHEME RELATING TO FOODS, FOODSTUFFS OR NON-ALCOHOLIC BEVERAGES AND LACTIC OR PROPIONIC ACID BACTERIA USED IN FOODSTUFFS OR FOOD PREPARATION
    • A23V2002/00—Food compositions, function of food ingredients or processes for food or foodstuffs
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S426/00—Food or edible material: processes, compositions, and products
    • Y10S426/808—Starch base snack product

Definitions

  • This invention relates to therapeutic treatments of diabetes mellitus. More particularly, this invention relates to treatment methods and compositions for the prevention of severe fluctuations in blood sugar levels in diabetic patients.
  • Symptoms of hypoglycemia fall into two main categories. Rapid epinephrine release causes sweating, tremor, tachycardia, anxiety, and hunger. Central nervous system symptoms include dizziness, headache, clouding of vision, blunted mental acuity, confusion, abnormal behavior, convulsions and loss of consciousness. When hypoglycemia is recurrent or severe, nervous system symptoms predominate, and the epinephrine phase may not be recognizable. With more rapid drops or wide swings in plasma glucose (as in insulin reactions), adrenergic symptoms are prominent (Harrison's Principles of Internal Medicine. 11th Ed., McGraw-Hill Book Company, New York, 1987, p. 1800).
  • results of the Diabetes Complication and Control Trial indicate that intensive insulin treatment, while it markedly delays and lessens long term retinal, nephrologic and neuropathic disease, leads to a three to nine-fold increase in hypoglycemic events, most of which occur at night (L.Y. Dawson, Clinical Diabetes. ⁇ :88-96, 1993).
  • these episodes of hypoglycemia are severe and can lead to loss of consciousness and convulsions.
  • Severe hypoglycemic events seem to occur more often at night while the patient is asleep rather than during the day. When awake, diabetic patients can feel hypoglycemic reactions beginning, and can treat themselves with sugar in order to bring their blood sugar levels back into the normal range. When asleep, patients do not have this awareness, therefore the risk of hypoglycemia is much higher during this time.
  • Comstarch has been used effectively to combat the hypoglycemia associated with glycogen storage disease type 1, a disease having an inherited absence or deficiency of glucose-6-phosphatase activity in the liver, kidneys, and intestines, leading to accumulation of glycogen in those organs and hypoglycemia during fasting. Protection against low blood sugar was provided for up to 6 to 8 hours after ingestion of uncooked comstarch (J.I. Wolfsdorf, et al., Am. J. Gin. Nutr.. 51: 1051- 7, 1990). However, the dosage of comstarch used for this treatment was 1.75 grams per kilogram of body weight. This dosage is much higher than could be tolerated by a patient with diabetes mellitus.
  • hypoglycemia in both Type I and Type II diabetics.
  • a method of treatment or maintenance is required which will avoid serious hypoglycemic episodes while not provoking hyperglycemia.
  • Blood glucose levels in patients with diabetes mellitus are regulated and stabilized by ingesting a therapeutic food composition including a slowly metabolized complex carbohydrate, preferably uncooked comstarch, a more rapidly metabolized complex carbohydrate, protein and fat.
  • the food composition is slowly absorbed from the gastrointestinal tract and maintains relatively stable blood sugar levels in the diabetic patient for up to nine hours.
  • the food composition which may be in the form of a snack bar, is preferably administered to diabetic patients shortly before bedtime, and is effective in substantially preventing nocturnal episodes of hypoglycemia while not causing hyperglycemia.
  • the present invention pertains to a therapeutic food composition intended for administration to patients suffering from Type I or Type II diabetes to help maintain proper blood glucose regulation and prevent wide fluctuations therein, namely, hypoglycemic and hyperglycemic episodes.
  • the therapeutic composition is to be administered as part of an overall program of treatment, including control of diet and the administration of insulin and/or other medications in appropriate cases.
  • the novel food composition comprises as its essential components: a) a complex carbohydrate which is slowly absorbed from the human gastrointestinal tract (hereinafter “slowly absorbed carbohydrate”), i.e., is slowly digested and is not completely metabolized even after 3-4 hours; b) a complex carbohydrate which is more rapidly absorbed from the digestive tract (hereinafter “rapidly absorbed carbohydrate”); c) protein; and d) fat.
  • slowly absorbed carbohydrate a complex carbohydrate which is slowly absorbed from the human gastrointestinal tract
  • rapidly absorbed carbohydrate a complex carbohydrate which is more rapidly absorbed from the digestive tract
  • complex carbohydrates refers to macromolecular carbohydrates including starches, polydextrose and other polysaccharides.
  • the therapeutic composition containing the foregoing components may be in any conventional "snack" form, e.g., bars, puddings, cookies, wafers, milkshakes and the like.
  • Snack-type bars resembling candy or granola bars are most convenient for storage, handling and administration purposes and, when produced with scores, perforations or grooves thereon, can be easily divided for purposes of administering a fraction of a bar where appropriate.
  • the novel food composition preferably contains about 20 to about 50 grams of nutrients per serving or unit, e.g., per bar, including:
  • the term "nutrients" as used herein refers to carbohydrates, proteins and fats.
  • the therapeutic food compositions of the invention preferably provides about 115- 230 calories per serving or unit, of which:
  • the novel food composition is in the form of a bar including 17-24 grams of total caibohydrate, or the equivalent of one to one and one-half "bread exchanges" in a standard diabetic diet plan.
  • the bar contains about 5-15 grams of slowly absorbed carbohydrate in the form of uncooked comstarch, which generally comprises by weight about 27% amylose and 73% amylopectin.
  • the preferred embodiment also contains about 7-19 grams of rapidly absorbed complex carbohydrate, but substantially no simple sugars; about 5-20 grams of protein; and about 3-7 grams of fat, at least one-third as monounsaturated fat.
  • the ingredients in die therapeutic food composition may include any conventional food ingredients of adequate purity and wholesomeness which preferably supply the aforementioned amounts of total calories and percentage of calories from carbohydrates, protein and fat, respectively, and wherein the relative weight ranges of slowly absorbed carbohydrates, rapidly absorbed carbohydrates, protein and fat are as indicated previously.
  • the ingredients may include, by way of illustration, uncooked comstarch as the slowly absorbed carbohydrate; polydextrose, peanuts, peanut derivatives (e.g., peanut butter), other nuts or nut derivatives as sources of rapidly absorbed carbohydrates, fat and protein; and other protein sources such as soy protein, whey protein, and casein hydrolysate.
  • Artificial sweeteners or sugar substitutes may be included in the food composition, but no simple sugars such as sucrose.
  • Coloring agents, water, salt, preservatives and other standard ingredients or additives normally used in the preparation of a snack or candy-type bar may be utilized as well, provided that the total nutrient and calorie profile of the finished bar or other form of the novel food composition comes within the parameters defined above.
  • Uncooked comstarch is the preferred source of slowly absorbed carbohydrate for purposes of the invention since its caibohydrate content and its rate of metabolism are known and are relatively uniform, and it may be readily formulated into a variety of palatable food compositions.
  • a bedtime snack containing about 30 grams of carbohydrate, often in the form of bread, cereal or milk.
  • patients suffering from diabetes mellitus are administered in place of, or as part of, their normal evening or pre-bedtime snack (in accordance with their recommended bread and protein exchanges) one to two servings or units of the therapeutic food composition, for example one to two bars prepared in accordance with the invention.
  • the number of units administered, including fractions of a unit (such as half bars) will depend on the age, weight and condition of the patient, whether or not the patient takes insulin or other antidiabetic medication and the patient's nocturnal blood sugar profile as determined by finger stick blood glucose levels or other means of blood sugar management.
  • the goal of the treatment is to prevent blood glucose levels from dropping below 60 mg dl, defined as hypoglycemia, while not rising above 250 g/dl, defined as hyperglycemia. Dosage amounts of less than one unit may be utilized in younger pediatric patients or in patients who have demonstrated relatively little tendency towards nocturnal hypoglycemic events.
  • Patients taking insulin to facilitate post-prandial absorption of glucose can also be treated during the day with premeasured doses of the novel food composition, which will be slowly metabolized to the monosaccharide glucose over a period of six to eight hours, instead of receiving simple carbohydrates such as orange juice or other sugar sources that tend to cause a rapid peak in blood glucose level that quickly subsides.
  • the patient's use of, and hence requirement for, glucose is varied and depends upon the level and type of activity, e.g., vigorous exercise. The exact amount and frequency of the actual dose, therefore, will vary by patient and from day to day for each patient.
  • a blood glucose test usually administered as a finger stick to obtain a blood sample, can be used to monitor daily glucose levels as well as the patient's own subjective experience of symptoms associated with the onset of hypoglycemia. Therefore, in the practice of this invention sufficient complex carbohydrate is administered in the form of the novel food composition to maintain the blood glucose level somewhat above this level, nominally about 60 mg/dl in the average patient.
  • composition and method of the present invention are valuable adjuncts to conventional diet management and drug or insulin therapy and can provide an easily administered and accepted modality to avoid excessive peaks and valleys in blood glucose levels, particularly the severe hypoglycemic episodes which are experienced by many diabetics.
  • a therapeutic food composition was prepared in accordance with the invention in the form of a snack-type vanilla nut bar.
  • the bar weighed a total of 31 g and contained sorbitol, comstarch, soy protein isolate, peanut butter, water, polydextrose, peanuts, whey protein concentrate, natural flavors, lecithin and citric acid.
  • the bar provided 120 calories (equivalent to one bread exchange), of which about 54% were from carbohydrates, 23% from protein and 23% from fat.
  • the bar included 7 g of protein and about 3 g of total fat: about 0.5 g saturated fat, 1 g polyunsaturated fat and 1 g monounsaturated fat.
  • the total carbohydrate content of the bar was 17 g, of which 5 g were comstarch (uncooked) and about 12 g were more rapidly absorbed carbohydrate provided primarily by the polydextrose and peanuts.
  • the bar contained 95 mg of sodium and 40 mg of potassium.
  • Example 1 The bar of Example 1 was administered to eight diabetic children who had previously experienced episodes of nocturnal hypoglycemia. Each child consumed one bar as part of his or her regular evening snack for three to five consecutive nights, and the blood glucose levels of each patient were measured several times during the night and in the morning upon awakening.
  • hypoglycemia As indicated by the data set forth in Table 1, only one patient exhibited hypoglycemia after consuming the therapeutic bar and only in one blood sugar reading out of well over a dozen taken from that patient, with hypoglycemia being defined as blood glucose levels ⁇ 60 mg/dl. By contrast, the patients had all previously experienced moderate to severe episodes of noctumal hypoglycemia after consuming their regular evening snacks which did not contain comstaich.
  • compositions and methods which achieve the various objects of the invention and which are well adapted to meet the conditions of practical use.

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  • Life Sciences & Earth Sciences (AREA)
  • Health & Medical Sciences (AREA)
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  • Engineering & Computer Science (AREA)
  • Food Science & Technology (AREA)
  • Nutrition Science (AREA)
  • Polymers & Plastics (AREA)
  • Mycology (AREA)
  • Diabetes (AREA)
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  • Animal Behavior & Ethology (AREA)
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  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Emergency Medicine (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
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  • Endocrinology (AREA)
  • Oil, Petroleum & Natural Gas (AREA)
  • Obesity (AREA)
  • Pediatric Medicine (AREA)
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  • Inorganic Chemistry (AREA)
  • Coloring Foods And Improving Nutritive Qualities (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
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Abstract

La présente invention concerne une composition alimentaire thérapeutique destinée au traitement de patients diabétiques. Chaque dose de cette composition, qui permet d'atténuer les fluctuations du taux de glycémie et de prévenir les épisodes hypoglycémiques, contient environ 20 à 50 grammes de nutriments. Ces nutriments, qui incluent un complexe glucidique à absorption ou digestion lente, de préférence de l'amidon de maïs, comprennent également un complexe glucidique à absorption ou digestion plus rapide, une protéine, une graisse, mais par principe, aucun sucre simple. Dans le cas de patients qui reçoivent une thérapie insulinique ou prennent part à des activités susceptibles de provoquer une hypoglycémie, l'administration de l'aliment de la présente invention comme en-cas de soirée ou d'avant coucher ou pendant la journée permet de traiter de tels patients diabétiques en provoquant une atténuation des fluctuations glycémiques et en prévenant l'hypoglycémie.
PCT/US1995/010803 1995-04-07 1995-08-25 Composition alimentaire therapeutique et procede attenuant les fluctuations glycemiques WO1996031129A1 (fr)

Priority Applications (9)

Application Number Priority Date Filing Date Title
NZ292038A NZ292038A (en) 1995-04-07 1995-08-25 Therapeutic food composition for reducing blood sugar fluctuations containing slowly and rapidly absorbed complex carbohydrates, fat and protein
JP53026696A JP3589673B2 (ja) 1995-04-07 1995-08-25 治療用食品組成物及び血糖変動を減少させるための方法
AT95930278T ATE216564T1 (de) 1995-04-07 1995-08-25 Therapeutische nahrungsmittelzusammensetzung und verfahren zur verminderung der schwankungen der blutzuckerstand
EP95930278A EP0765126B1 (fr) 1995-04-07 1995-08-25 Composition alimentaire therapeutique et procede attenuant les fluctuations glycemiques
CA002191714A CA2191714C (fr) 1995-04-07 1995-08-25 Composition alimentaire therapeutique et procede attenuant les fluctuations glycemiques
BR9507944A BR9507944A (pt) 1995-04-07 1995-08-25 Composições alimenticias terapéuticas e métodos para diminuir flutuações de acucar no sangue
DE69526501T DE69526501D1 (de) 1995-04-07 1995-08-25 Therapeutische nahrungsmittelzusammensetzung und verfahren zur verminderung der schwankungen der blutzuckerstand
AU33728/95A AU718692B2 (en) 1995-04-07 1995-08-25 Therapeutic food composition and method to diminish blood sugar fluctuations
FI964884A FI964884A (fi) 1995-04-07 1996-12-05 Terapeuttinen ruokakoostumus ja menetelmä verensokerin vaihtelun vähentämiseksi

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/418,210 US5605893A (en) 1994-03-15 1995-04-07 Method of using a therapeutic food composition to diminish blood sugar fluctuations in diabetic patients
US08/418,210 1995-04-07

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WO1996031129A1 true WO1996031129A1 (fr) 1996-10-10

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US (1) US5605893A (fr)
EP (1) EP0765126B1 (fr)
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US5866555A (en) * 1997-03-12 1999-02-02 Beth Israel Deaconess Medical Center Diabetic supplement bar
EP0952838A1 (fr) * 1996-10-21 1999-11-03 Children's Hospital Of Los Angeles Composition d'aliment therapeutique et procede de reduction des fluctuations des taux de glycemie
WO1999065335A1 (fr) * 1998-06-19 1999-12-23 Beth Israel Deaconess Medical Center Complement dietetique destine a des individus soumis a un stress
DE19954233A1 (de) * 1999-11-11 2001-05-31 Nutricia Nv Diabetikernahrung
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US6534487B1 (en) 1999-08-03 2003-03-18 Childrens Hospital Los Angeles Methods for suppressing appetite and enhancing exercise and recovery
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US6905702B1 (en) * 1999-11-08 2005-06-14 Children's Hospital Los Angeles Methods for regulating blood glucose and appetite suppression in type 2 diabetics

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US6339076B1 (en) 1994-03-15 2002-01-15 Childrens Hospital Los Angeles Therapeutic food composition and method to diminish blood sugar fluctuations
EP0768043A3 (fr) * 1995-10-16 1997-05-21 Bristol-Myers Squibb Company Produit de nutrition pour les diabétiques avec contrôle d'absorption de glucides
US5776887A (en) * 1995-10-16 1998-07-07 Bristol-Myers Squibb Company Diabetic nutritional product having controlled absorption of carbohydrate
EP0768043A2 (fr) * 1995-10-16 1997-04-16 Bristol-Myers Squibb Company Produit de nutrition pour les diabétiques avec contrÔle d'absorption de glucides
US6156738A (en) * 1996-04-12 2000-12-05 Bell; Stacey J. Diabetic supplement bar
WO1997038593A1 (fr) * 1996-04-12 1997-10-23 Beth Israel Deaconess Medical Center, Inc. Barre de complement pour diabetiques
EP0952838A1 (fr) * 1996-10-21 1999-11-03 Children's Hospital Of Los Angeles Composition d'aliment therapeutique et procede de reduction des fluctuations des taux de glycemie
EP0952838A4 (fr) * 1996-10-21 2000-11-15 Los Angeles Childrens Hospital Composition d'aliment therapeutique et procede de reduction des fluctuations des taux de glycemie
US5866555A (en) * 1997-03-12 1999-02-02 Beth Israel Deaconess Medical Center Diabetic supplement bar
WO1999065335A1 (fr) * 1998-06-19 1999-12-23 Beth Israel Deaconess Medical Center Complement dietetique destine a des individus soumis a un stress
US6534487B1 (en) 1999-08-03 2003-03-18 Childrens Hospital Los Angeles Methods for suppressing appetite and enhancing exercise and recovery
US6905702B1 (en) * 1999-11-08 2005-06-14 Children's Hospital Los Angeles Methods for regulating blood glucose and appetite suppression in type 2 diabetics
DE19954233A1 (de) * 1999-11-11 2001-05-31 Nutricia Nv Diabetikernahrung
US7498318B1 (en) 1999-11-11 2009-03-03 N.V. Nutricia Food for diabetics
EP1169923A1 (fr) * 2000-07-07 2002-01-09 McKenzie, Russell G. Aliments nutritifs solides et ses procédés de fabrication
ES2228283A1 (es) * 2003-05-26 2005-04-01 Roberto Menardi Producto dietetico particularmente idoneo para la alimentacion de personas diabeticas y su utilizacion.

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IL115470A0 (en) 1995-12-31
JPH11500625A (ja) 1999-01-19
JP3589673B2 (ja) 2004-11-17
MX9606068A (es) 1998-06-28
AU718692B2 (en) 2000-04-20
AR001286A1 (es) 1997-10-08
EP0765126B1 (fr) 2002-04-24
ZA957800B (en) 1996-05-06
US5605893A (en) 1997-02-25
NZ292038A (en) 1998-09-24
EP0765126A1 (fr) 1997-04-02
FI964884A (fi) 1997-02-06
BR9507944A (pt) 1997-09-02
ATE216564T1 (de) 2002-05-15
CA2191714C (fr) 2002-04-23
CN1152254A (zh) 1997-06-18
CA2191714A1 (fr) 1996-10-10
FI964884A0 (fi) 1996-12-05
IL115470A (en) 2000-06-01
AU3372895A (en) 1996-10-23
DE69526501D1 (de) 2002-05-29

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